Garden City Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 93 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (18 vs median 13.0)
- High staff turnover (62%)
- High RN turnover (71%)
Bottom 25% in CA · Below recommended RN staffing · Worst in PACS GROUP chain · $35,153 in fines · Abuse citation
What this means for your family
This facility offers an excellent physical and occupational therapy program that has successfully helped many patients regain mobility. However, families must be extremely vigilant regarding medication management and call-light response times, as multiple reports indicate significant lapses in basic care and hygiene.
Google Reviews
Google Reviews
93 reviews on Google“Families considering Garden City Healthcare Center will find a facility with highly praised physical and occupational therapy teams and several compassionate nursing staff members. However, there are significant, recurring reports of slow response times to call lights, medication errors, and concerns regarding facility cleanliness and odor. While many recent reviews highlight excellent rehabilitation outcomes, others warn of serious neglect and inadequate climate control during hot months.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy
- Compassionate and attentive nursing staff
- Effective rehabilitation and recovery outcomes
- Friendly and professional administrative/admissions team
Concerns
- Slow response to call lights and patient needs (mentioned by 6 reviewers)
- Issues with facility cleanliness and unpleasant odors (mentioned by 5 reviewers)
- Medication errors or mismanagement (mentioned by 3 reviewers)
- Loss or theft of patient belongings (mentioned by 3 reviewers)
- Inadequate temperature control/lack of AC (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 95 analyzed
How They Respond to Reviews
The owner relies heavily on a set of pre-written templates to respond to reviews. While positive reviews receive varying degrees of brief acknowledgment, negative reviews are met with standardized scripts that offer a phone number and claim the management team has been notified.
Questions for Your Tour
- 1We've heard wonderful things about your therapy programs; could you tell us more about how the physical and occupational therapy teams work with residents to improve their recovery?
- 2How does the nursing team ensure that medication is administered accurately and safely every day?
- 3What steps are being taken to ensure the facility stays clean, fresh, and comfortable for all residents?
- 4How do you manage call lights and ensure that staff can respond quickly when a resident needs assistance?
- 5Can you describe what a typical day looks like for residents, including meal times and social activities?
- 6How does the administration communicate important updates or changes in care to family members?
Personalized based on this facility's data
Key Review Excerpts
“The therapy is fantastic. There’s always activities going on to keep residents busy and interacting. Nursing is on top of it and the management team works to resolve issues in a timely manner.”
“My mother-in-law was there for 3 weeks rehabing from knee replacement surgery. I always had tons of questions every day about her health maintenance, etc. and the staff could have easily got frustrated with me. Never once did I experience a cranky employee.”
“I was there for two weeks to recover from surgery and the first night it took 2 hours for them to answer a call to use the restroom. I started to feel ill after eating the food.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
measures
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents on antipsychotic medication
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has recurring issues with accident prevention, medication management, and care planning, with families filing 19 complaints that triggered federal investigations. Safety hazards appear repeatedly across surveys from 2019 to 2025, indicating persistent problems with supervision and accident prevention. Medication errors and care planning deficiencies also recur frequently. While the facility corrects violations when cited, the pattern of repeated issues in critical areas suggests ongoing quality concerns that families should carefully consider.
Feb 12, 2026Routine16
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Dec 10, 2025Complaint2
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 24, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 15, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 13, 2025Complaint2
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jan 6, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Federal Penalties
Fine
Nov 24, 2025
$11,190
Fine
Jul 15, 2025
$9,110
Fine
Oct 24, 2024
$14,853
Ownership & Operations
Who Operates This Facility
Garden City Healthcare Center
for profit
Chain Affiliation
Pacs Group
279 facilities nationwide
Chain avg rating: 2.9/5 · Rank 242 of 260 (Worst)
Ownership & Management
Owners
Hudson River Opco LLC
Owner · Organization
Bay Bridge Capital Partners, LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
93 reviews from families & visitors
Official Website
Visit gardencityhealthcare.com
Medicare data downloads
Original nursing home datasets
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